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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ik,�F� `1r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: PHO ISLAND Il, 1125 S MAIN ST, MANTECA 95336 <br /> Okay to operate. <br /> Obtain permit prior operating your business. <br /> PE 1625 $376 to be paid for new permit under new ownership. <br /> 5021 form to be updated. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0004626 SR0087384 SC061 11/09/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Food Program Service Request Inspection Report <br />